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Arthroscopic Reconstruction of ACL and LCL Tear with Combined Asymmetric Hamstring Graft Using Single Femoral Tunnel
Malkesh D Shah1, Bhagya R Shah1, Sarvang Desai1
1Department of Orthopaedics, Smt. B. K. Shah Medical Institute and Research Center, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India.
Introduction:
Anterior cruciate ligament (ACL) injury is associated with various degrees of rotational deformity. About 15% have a positive pivot shift test after accurate ACL reconstruction. Unrepaired lateral collateral ligament (LCL) tear can lead to increase load on reconstructed ACL and lead to ligament failure.
Case Report:
We present a case of combined ACL with LCL tear treated arthroscopically using a single femoral tunnel and asymmetric combined semitendinosus and gracilis (STG) graft. The patient had full range of motion at the knee joint and was able to squat and sit cross-legged and was able to carry out activities of daily living at 8 months of follow-up.
Conclusion:
Our technique provides orthopedic surgeons with an alternative for combined ACL and LCL reconstruction with a single combined STG graft, thereby limiting additionally graft site morbidity and avoiding the need for allograft and preserving adequate femoral bone stock by preparing only a single femoral tunnel and thus limiting the cost to the patient using single implant for femur.
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